Document Detail

Non-surgical treatment of mandibular fractures--survey of 28 patients.
MedLine Citation:
PMID:  15050069     Owner:  NLM     Status:  MEDLINE    
Between January 1996 and January 2001 28 patients (nine females, nineteen males) with 35 fractures were treated by observation and soft diet only. Patients with isolated high condylar neck fractures were not included. The mean age at time of trauma was 35.6 years (5/80). Only patients with normal occlusion and radiologically undisplaced fractures were included. The follow-up time was 15 weeks on average (8/33). The patients did not undergo any active treatment. They just received the instruction to reduce mouth opening and to take a soft diet for 4 weeks. During the first 2 weeks after the trauma the patients were seen twice a week. Follow-up X-rays were performed after 4 and after 8 to 12 weeks. As a preemptive therapy antibiotics (amoxicillin plus clavulanic acid 2 x 1g/day) were given for 5 days. Spontaneous healing of all fractures was observed. In two patients a tooth had to be removed out of the fracture line. One patient complained about an occlusal problem after 1 week. In his case intermaxillary fixation was installed for 2 weeks. For forensic reasons the patients have to be fully informed about possible complications before indicating this type of management. Patient selection is crucial and requires a highly experienced surgeon. Patient inconvenience due to frequent consultations must be taken into consideration. This type of treatment can be recommended only in selected cases.
G Ghazal; C Jaquiéry; B Hammer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  33     ISSN:  0901-5027     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-03-30     Completed Date:  2004-04-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  141-5     Citation Subset:  D; IM    
Department of Reconstructive Surgery, Clinic for Maxillofacial Surgery, University Hospital, Basle, Switzerland.
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MeSH Terms
Child, Preschool
Fracture Fixation / methods
Fracture Healing
Mandibular Fractures / radiography,  therapy*
Middle Aged
Patient Selection

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